Left sided neglect is defined as impaired awareness of stimuli on one side of the body, despite not having any sensory loss to that side of the body.

What is Left Neglect and How Can I Treat it?



What is left neglect and who does it affect?
Many stroke survivors
[https://www.neofect.com/us/blog/stroke-recovery-stories-post-stroke-rehab-stroke-survivor-marcy] 
experience left sided neglect. Some may experience it more extreme than others.
Left sided neglect is defined as impaired awareness of stimuli on one side of
the body, despite not having any sensory loss to that side of the body. Left
sided neglect is a common condition after sustaining an injury to the right
hemisphere of the brain
[https://www.neofect.com/us/blog/5-symptoms-right-side-stroke-brain]. Left sided
neglect is a common side affect of a cerebral infarction or haemorrhage.

Does left neglect affect ones independence and safety?
When someone has left sided neglect they may only eat food on the right side of
their plate, put make up on their right side of their face, only thread their
right arm in a sleeve of a shirt, comb their hair only on the ride side or start
writing in the middle of a page. Left sided neglect does not occur because of a
vision problem with the left eye but refers to being unaware of of your affected
side due to damage to the brain on the right side. Left sided neglect can
decrease ones independence and also can be a safety concern.



Left sided neglect can be a safety
[https://www.stroke.org/we-can-help/survivors/stroke-recovery/first-steps-to-recovery/safety-after-stroke/] 
concern for many reasons. If someone is unaware of their left sided surroundings
they may not be able to cross a busy street independently because they will have
a hard time recognizing cars coming from the left, they may get their left arm
stuck in the wheel of their wheelchair, they may bump in to items on their left
side, they may not see a hot stove that is located on their left side and bump
into it causing them to burn themselves and so on. Since left neglect can impact
ones independence and safety it is very important to address it with your doctor
or therapist.

How does one diagnose left neglect?


Either a Speech-language pathologists, occupational therapists,
neuropsychologists, optometrists, or a neurologists will perform assessments to
determine the severity of the left sided neglect. There are multiple assessments
that can be used. Some examples are providing a sheet of paper with a circle on
it and asking the stroke survivor to draw a clock or giving them a sheet of
paper with a bunch of numbers or letters on it and aksing them to cross out a
specific number or letter. If the stroke survivor is suffering from left sided
neglect many times you will notice them only crossing off letters or numbers on
the right side or drawing the numbers of a clock only on the right side of the
circle.

Is left neglect treatable?
Left neglect is treatable however, there are many different ways one can go
about treating it. The most common way to treat left neglect is forcing the
stroke survivor to pay attention to their left side and to utilize their left
sided extremities on a daily basis. Some examples would be by placing the stroke
survivors night stand on the left side of their bed, placing a clock on the left
side of the room, positioning the TV on the left side of the room or placing
their dinner plate towards their left side. All of these examples force the
stroke survivor to pay attention to their left side.

Constraint induced movement therapy is another way to treat left sided neglect.
Constraint induced movement therapy involves constraining movements of the
unaffected limb with a sling or mitt for 90% of the day forcing the stroke
survivor to use their affected limb for all functional tasks through out the
day. Constraint induced movement therapy is usually practiced in a 2-3 week
span.



There are many ways to treat left sided neglect but all of the treatments stem
from the idea of neuroplasticity
[https://brainworksneurotherapy.com/what-neuroplasticity]. In order to retrain
the brain after a stroke, it is important to strengthen the neural pathways that
control all of these behaviors and movements by doing repetitive exercises. The
more repetitive exercises and movements one does, the stronger the pathways in
the brain will become. This is called neuroplasticity.

One way to continue to make progress in strengthening your neural pathways is by
using either the Neofect Smart Glove or Smart Board
[https://www.neofect.com/us/]. These products help increase the brain's ability
to rewire itself and increase the range of motion and strength in the upper
extremities. And the best part is that they do this with fun and engaging games!
Neofect’s products can also help with issues with vision and cognition. To learn
more about the Smart Board or Smart Glove please call us at 888-623-8984 or
email us at contactus@neofect.com.

Left Sided Neglect

Stroke survivors are three times more likely to fall at home after having a stroke than the general population. 

Fall Prevention Techniques for Stroke Survivors

According to the Centers for Disease Control and Prevention (CDC)
[https://www.cdc.gov/media/releases/2016/p0922-older-adult-falls.html] about 3
million people are treated in emergency departments for fall injuries each year
and over 800,000 patients are admitted to the hospital with an injury secondary
to the fall (Centers for Disease Control and Prevention, National Center for
Injury Prevention and Control. Web–based Injury Statistics Query and Reporting
System (WISQARS) [online]. Accessed August 5, 2016.)

Stroke survivors are three times more likely to fall at home after having a
stroke than the general population. Therefore it is very important for stroke
survivors to understand why they are at a higher risk for falling and how to
prevent a fall.

Why do stroke survivors have a higher chance of falling?

After having a stroke
[https://www.neofect.com/us/blog/stroke-exercises-for-each-stage-of-stroke-recovery] 
many people exhibit one or more of these symptoms which can lead to impaired
balance and falls:

• Increased dizziness
• Impaired or loss of vision
• Increased weakness on affected side
• Foot drop
• Impaired cognition

What can a stroke survivor do to prevent a fall at home?

1. Increased dizziness can be caused by multiple factors. Dizziness can be
caused by dehydration, side effects from medication and low blood pressure.
Therefore it very important to always stay hydrated, monitor your blood pressure
and always speak to your doctor about possible side effects when starting a new
medication.

2. After surviving a stroke many people will notice a change with their vision.
 It is very important to get examined by an optometrist after surviving a
stroke. The doctor may need to adjust your glasses or they may also recommend
that you speak to an occupational therapist to work on exercises to address your
vision issues. It is important to make sure to always keep your house well lit
and free of obstacles.

3. After experiencing a stroke many people exhibit weakness on one side of their
body which can cause impaired balance. It is very important to continue to work
with a therapist to increase your range of motion and strength on the affected
side. It is also very important to always utilize your assistive device (ie:
walker or cane etc.) if needed.

4. Many stroke survivors tend to have drop foot
[https://www.neofect.com/us/blog/what-does-a-drop-foot-brace-do] after a stroke.
Drop foot means that you have a hard time lifting the front part of your foot.
If your doctor or therapist have given you a brace to wear it is very important
that you do so. It is important to keep doing your rehab exercises in order to
strength all the muscles in your foot and hopefully get rid of your drop foot!

5. Many stroke survivors present with impaired cognition after a stroke. Many
people have memory issues causing one to forget to use their assistive device at
all times. It is important that someone with impaired cognition has supervision
at home to prevent falls.  It is also important to set up the home to provide a
successful environment ie clear and light pathways.

If you have had a stroke and are looking for an effective solution for your
rehabilitation needs, please look into Neofect's line of Smart Rehabilitation
Solutions [https://www.neofect.com/us].

To learn more, please call (888) 623-8984 or email contactus@neofect.com.